Elsevier

The Annals of Thoracic Surgery

Volume 94, Issue 6, December 2012, Pages 2115-2118
The Annals of Thoracic Surgery

Case report
Transfemoral and Transseptal Valve-in-Valve Implantation Into a Failing Mitral Xenograft With a Balloon-Expandable Biological Valve

https://doi.org/10.1016/j.athoracsur.2012.04.123Get rights and content

Valve-in-valve implantation for degenerated surgical bioprosthetic valves is becoming an increasingly accepted approach in selected high-risk patients. In the past, valve-in-valve implantations have been mainly performed in aortic position and only rarely in mitral position. We describe the case of an 81-year-old female patient with severe mitral regurgitation of a degenerated Carpentier-Edwards biological prosthesis treated by transfemoral and transseptal implantation of a SAPIEN-XT valve.

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Comment

TAVI has become an emerging feasible and effective alternative technique to surgery for treatment of severe aortic valvular stenosis in patients, judged to be poor candidates for surgery. In addition, TAVI as a valve-in-valve implantation for failing biological aortic prosthesis is gaining increasingly acceptance [2, 3]. Until now, mainly transapical implantation of SAPIEN valves into failing mitral xenografts has been reported [4, 5, 6, 7]. The presented case involves a patient with a failing

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